Circle of Hope International
Malawi Mission Team Application Form

We are so excited you are interested in joining one of our teams. Before filling out this form, please read about our teams, what we do, what we expect and the costs for going to Malawi. If you have more questions before filling out the form, please contact karen@cohcommunity.org.

Name

First Name

Last Name

Birthday

MM

DD

YYYY

Please write your full name as it appears on your passport, your passport number and date of expiration

Email address you check and use regularly.

Cell phone number

Country

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Departure City

Which Mission Trip are you most interested in

Team One May 2024

Team Two June 2024

Team Three June 2024

I'd like to talk about a different time.

Are you currently under the care of a doctor? Please state any current medical conditions for which you are under treatment. Have you checked with your doctor about going on this trip? Please provide a list of any medications you currently take.

How did you hear about this mission trip? What previous mission trips have you participated in?

Give a short testimony of your relationship with Jesus.

What do you want Jesus to do in your heart through this trip?

Check to indicate that you understand the costs.

I understand that I am responsible for the cost of this trip. Estimated Cost: $1,500 plus airfare and any necessary vaccines, medications, spending money.

Check to indicate that you understand the vaccines and medications needed.

I have read and understood the information on the CDC website: https://wwwnc.cdc.gov/travel/destinations/traveler/none/malawi

I understand my $100 deposit is due on submission of this form.

Deposit Due $100

Circle of Hope International
Malawi Mission Team Application Form

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Circle of Hope International Malawi Mission Team Application Form

Circle of Hope International
Malawi Mission Team Application Form